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General NPI Number Information
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NPI Number | 1639979131
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Entity Type | Individual
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Provider Name | LAWRENCE E GLESMANN
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Gender | Male
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 13750 MILLARD AVE
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City | OMAHA
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State | NE
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Zip | 68137-2712
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Country | US
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Telephone | 402-403-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 26TH ST LOT 10
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City | AUBURN
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State | NE
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Zip | 68305-3121
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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